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RE: Inguinal hernia
I think the treatment of the inguinal hernia is straightforward, the mesh/ non-mesh argument notwithstanding. Dr. M did not say if it was direct or indirect, but thinking about some of her comments I would guess that it is direct.
I hope you are serious about seeing Dr. M when she comes next, but you know there are other options in the meantime (Meyers, et al).
My comments on the article...
Agree it progresses latently for a long time. Dr. M said I've probably had it for a long time. I likely discovered it only because I am active and it likely contributed to my pains. A sedentary person would not discover it for probably years more. 4 doctors, even one who knew Dr. M diagnosed me with a hernia, could not detect a hernia.
The article says the majority of patients experience re-aggravation and that re-occurance rates are high. This is contrary to published medical articles I've read.
That most surgeons recommend surgery as a last resort I would say is probably in general true, but they also advise to consider lifestyle situation. For a sedentary person - fine, live with it. For an active person that is limited by the problem - you may want to fix it.
Notice that the articles says "delay surgery as long as possible." Delay is the operative word here - for the younger person it almost certainly will have to be repaired at some point. When I combine that fact with my desire to not be limited in my activities I come to the conclusion that I would rather fix it now than later and live my life as I want now.
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